title: Association between mental health and fall injury in Canadian immigrants and non-immigrants.
abstract: The study was to determine the association between mental health and the incidence of injury among Canadian immigrants and non-immigrants. We used data from 15,405 individuals aged 12 years or more, who were living in British Columbia, Canada, and participated in the 2007-2008 Canadian Community Health Survey (CCHS). We calculated a 12-month cumulative incidence of fall injury based on self-reporting. Logistic regression model was used to examine the association of the 12-month cumulative incidence of fall injury with immigration status and mental health before and after adjustment for covariates. The results show that self-reported mood and anxiety disorders were significantly associated with an increased incidence of fall injury. The adjusted odds ratios were 1.81 (95% CI: 1.37, 2.38) for mood disorder and 1.55 (95% CI: 1.12, 2.13) for anxiety disorder. Immigrant status was a significant effect modifier for the association between mental health and fall injury, with stronger associations in immigrants than in non-immigrants especially in elderly people. People with poor self perceived health were more likely to have a fall injury. Both mental health and general health were related to fall injury. There was a stronger association between mental health and fall injury in immigrants compared with non-immigrants in the elderly. More attention should be paid to mental health in immigrants associated with fall injury.
authors.affiliation: Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada K1H 8M5. Electronic address: ychen@uottawa.ca.
authors.forename: Yue
authors.initials: Y
authors.lastname: Chen
authors.forename: Frank
authors.initials: F
authors.lastname: Mo
authors.forename: Qilong
authors.initials: Q
authors.lastname: Yi
authors.forename: Howard
authors.initials: H
authors.lastname: Morrison
authors.forename: Yang
authors.initials: Y
authors.lastname: Mao
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology; D001955:British Columbia / Q000453:epidemiology; D002648:Child; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology* / Q000523:psychology; D012307:Risk Factors; D057566:Self Report; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000523:psychology; D055815:Young Adult
keywords: Age; British Columbia; Canada; Cross-sectional study; Fall injury; Immigration; Injury; Mental health; National survey